Medical Practice Licenses in Nebraska

License number
Nebraska 1930
Address
Nebraska
Category
Medicine
Issued Date
Aug 17, 2006
Effective Date
Apr 1, 2007
Expiration Date
Oct 1, 2007
Type
Physician Assistant Supervisor
License number
Nebraska 4672
Address
Nebraska
Category
Medicine
Issued Date
Feb 8, 2002
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3622
Address
Nebraska
Category
Medicine
Issued Date
Mar 20, 2000
Effective Date
Oct 1, 2003
Expiration Date
Oct 1, 2003
Type
Backup PA Supervisor
License number
Nebraska 3621
Address
Nebraska
Category
Medicine
Issued Date
Mar 20, 2000
Effective Date
Aug 31, 2001
Expiration Date
Oct 1, 2001
Type
Backup PA Supervisor
License number
Nebraska CT-030173-F
Address
Nebraska
Category
Medicine
Issued Date
Aug 2, 1993
Effective Date
Nov 22, 2004
Expiration Date
Aug 6, 1993
Type
Physician Locum Tenens
License number
Nebraska CT-020173-E
Address
Nebraska
Category
Medicine
Issued Date
Jul 13, 1992
Effective Date
Nov 22, 2004
Expiration Date
Jul 24, 1992
Type
Physician Locum Tenens
License number
Nebraska CT-030173-D
Address
Nebraska
Category
Medicine
Issued Date
Jul 6, 1992
Effective Date
Nov 22, 2004
Expiration Date
Jul 12, 1992
Type
Physician Locum Tenens
License number
Nebraska CT-030173-B
Address
Nebraska
Category
Medicine
Issued Date
Dec 27, 1991
Effective Date
Nov 22, 2004
Expiration Date
Jan 3, 1992
Type
Physician Locum Tenens
License number
Nebraska CT-030173-A
Address
Nebraska
Category
Medicine
Issued Date
Aug 15, 1991
Effective Date
Nov 22, 2004
Expiration Date
Aug 21, 1991
Type
Physician Locum Tenens
License number
Nebraska CT-030173-C
Address
Nebraska
Category
Medicine
Issued Date
May 16, 1992
Effective Date
Nov 22, 2004
Expiration Date
May 24, 1992
Type
Physician Locum Tenens
License number
Nebraska 6105
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Jan 21, 2011
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 3122
Address
Nebraska
Category
Medicine
Issued Date
Jun 29, 1999
Effective Date
Aug 3, 2000
Expiration Date
Oct 1, 2000
Type
Backup PA Supervisor
License number
Nebraska 3686
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1997
Effective Date
Feb 11, 1999
Expiration Date
Jul 1, 1999
Type
Temporary Educational Permit
License number
Nebraska 5016
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2004
Effective Date
Feb 6, 2008
Expiration Date
Jul 1, 2008
Type
Temporary Educational Permit
License number
Nebraska 3297
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 1995
Effective Date
Dec 18, 1996
Type
Temporary Educational Permit
License number
Nebraska 5906
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2008
Effective Date
Jul 11, 2013
Expiration Date
Jul 1, 2013
Type
Temporary Educational Permit
License number
Nebraska 7207
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2014
Effective Date
May 27, 2016
Expiration Date
Jul 1, 2016
Type
Temporary Educational Permit
License number
Nebraska 4918
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2003
Effective Date
Jul 1, 2006
Expiration Date
Jul 1, 2006
Type
Temporary Educational Permit
License number
Nebraska 5896
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2008
Effective Date
Jan 10, 2012
Expiration Date
Jul 1, 2012
Type
Temporary Educational Permit
License number
Nebraska 4730
Address
Nebraska
Category
Medicine
Issued Date
Jul 2, 2002
Effective Date
Dec 11, 2002
Expiration Date
Jul 1, 2003
Type
Temporary Educational Permit
License number
Nebraska VA-0101247792-A
Address
Nebraska
Category
Medicine
Issued Date
Feb 7, 2011
Effective Date
Feb 17, 2011
Expiration Date
Feb 17, 2011
Type
Physician Locum Tenens
License number
Nebraska 6648
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2012
Effective Date
Jul 11, 2015
Expiration Date
Jul 1, 2015
Type
Temporary Educational Permit
License number
Nebraska 6044
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2009
Effective Date
Jul 20, 2010
Expiration Date
Jul 1, 2011
Type
Temporary Educational Permit
License number
Nebraska 4884
Address
Nebraska
Category
Medicine
Issued Date
Jul 1, 2003
Effective Date
Apr 25, 2007
Expiration Date
Jul 1, 2008
Type
Temporary Educational Permit
License number
Nebraska 4934
Address
Nebraska
Category
Medicine
Issued Date
Jan 1, 2004
Effective Date
Jul 2, 2004
Expiration Date
Jul 1, 2004
Type
Temporary Educational Permit